Although the levels of DDT and DDE have decreased significantly in the United States over the last three decades, the toxic pesticide is still found in 75 to 80 percent of the blood samples collected from the Centers for Disease Control and Prevention for a national health and nutrition survey. (Credit: iStockphoto)

Exposure to the pesticide DDT may increase the risk and severity of Alzheimer’s disease in some people, particularly those over the age of 60.

DDT was banned in the United States in 1972 but is still being used in other countries throughout the world.

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In a study published in JAMA Neurology, scientists discuss their findings in which levels of DDE, the chemical compound left when DDT breaks down, were higher in the blood of late-onset Alzheimer’s disease patients compared to those without the disease.

DDT was introduced in the 1940s and used in the United States for insect control in crops and livestock and to combat insect-borne diseases like malaria.

“I think these results demonstrate that more attention should be focused on potential environmental contributors and their interaction with genetic susceptibility,” says Jason R. Richardson, associate professor at the Robert Wood Johnson Medical School at Rutgers. “Our data may help identify those that are at risk for Alzheimer’s disease and could potentially lead to earlier diagnosis and an improved outcome.”

Takes decade to break down

Although the levels of DDT and DDE have decreased significantly in the United States over the last three decades, the toxic pesticide is still found in 75 to 80 percent of the blood samples collected from the Centers for Disease Control and Prevention for a national health and nutrition survey.

This occurs, scientists say, because the chemical can take decades to break down in the environment. In addition, people may be exposed to the pesticide by consuming imported fruits, vegetables and grains where DDT is still being used and eating fish from contaminated waterways.

In the Rutgers study, conducted in coordination with Emory University Alzheimer’s Disease Research Center and the University of Texas Southwestern Medical School’s Alzheimer’s Disease Center, 74 out of the 86 Alzheimer’s patients involved—whose average age was 74—had DDE blood levels almost four times higher than the 79 people in the control group who did not have Alzheimer’s disease.

Patients with a version of ApoE gene (ApoE4), which greatly increases the risk of developing Alzheimer’s, and high blood levels of DDE exhibited even more severe cognitive impairment than the patients without the risk gene.

Brain cell studies also found that DDT and DDE increased the amount of a protein associated with plaques believed to be a hallmark of Alzheimer’s disease.

These sticky amyloid proteins—which may form in regions of the brain involved in memory, learning, and thinking—break off and clump together in the brain and increase as the disease progresses. This new research is important, Richardson says, because it suggests that DDT and DDE may directly contribute to the process of plaque development.

“We need to conduct further research to determine whether this occurs and how the chemical compound interacts with the ApoE4 gene,” Richardson says.

“This study demonstrates that there are additional contributors to Alzheimer’s disease that must be examined and that may help identify those at risk of developing Alzheimer’s,” says Richardson. “It is important because when it comes to diagnosing and treating this and other neurodegenerative diseases, the earlier someone is diagnosed, the more options there may be available.”